Nnukwu necrosis nke pancreas. Mgbaàmà, ọgwụgwọ

The pancreas ina-akpata peritoneum n'ogo I-II lumbar vertebral agba. Nke a, ahụ na-aka na ihe ndị kasị mkpa Filiks ke idem. Ọzọ, anyị ga-aghọta, ihe ya ọrụ, ihe nwere ike ụfọdụ n'ime ya arụmọrụ. Karịsịa, anyị na-atụle dị ka na-egosipụta nnukwu pancreatic necrosis.

Isi

Pancreas (nkịtị size: 15-10 cm - ogologo nke 2-3 cm - obosara) a na-ewere nnukwu ezuru ahu. Ya ibu okenye - banyere 100 g na nwa ya ibu ihe karịrị atọ grams. Na ụmụ mmadụ, ahụ rụrụ ihe abụọ dị mkpa ọrụ. Ka anyị tụlee ha na ndị ọzọ zuru ezu n'okpuru.

ngwa ọrụ

Exocrine pancreas bụ mkpa na duodenum - guzo na ya pancreatic ihe ọṅụṅụ. O nwere enzymes: amylase, lactase, maltase, lipase, trypsin na ndị ọzọ. N'ihi pancreatic ihe ọṅụṅụ na-neutralized acidic gastric ọdịnaya na mgbaze nri. Ná mmalite, enzymes na-emepụta na ihe-adịghị ejekwa ozi ụdị, ekemende rụọ ọrụ 12-duodenum. Ha edinam na-eduzi na mmebi nke carbohydrates, abụba, na-edozi na isi mmiri. Ebighị nke enzymes na-enwe mmetụta enterokinase bile. Esịtidem secretion bụ mmepụta nke mkpa ogige. A na-agụnye, akpan akpan, na-agụnye lipokain, glucagon na insulin. The abụọ ikpeazụ bụ na-emegide onye ọ bụla ọzọ. Ha na-aka na ụkpụrụ nke ọbara sugar ịta, carbohydrate metabolism. N'ihi lipokaina guzobere pụtara na imeju phospholipids. Nke a, n'aka nke ya, nwere mmetụta bara uru na ọxịdashọn nke ọdụdụ asịd. Na erughi lipokaina eleghị anya imeju abụba.

ducts

Inside na gland aga ọwa emepe n'ime duodenum. The nkịtị bile na pancreatic ducts, ọtụtụ mgbe kpụrụ mkpọ. N'ihi ya, ha na-emeghe a nnukwu ọnụ ara 12 duodenal ọnyá afọ. The pancreatic ducts nkịtị mgbali ga-adị elu karịa ndị nkịtị bile duct. Nke a bụ n'ihi na ọ dị mkpa iji gbochie ntọhapụ nke nsia ọdịnaya na ńsí eriri afo.

Imebi nke ahụ na-eme

Mgbe mgbanwe ndị na-mgbali dị iche na pancreatic duct egosi ọbara mgbali. Ọ jikọtara ndị isi ike nke outflow nke pancreatic ihe ọṅụṅụ, hapụ ọdịnaya nke ńsí eriri afo ma ọ bụ bowel. Against ndabere nke na-amụba mgbali nke ha onwe ha pancreatic mkpụrụ ndụ na-amalite na-emebi. N'ime ndị a enzymes na-tọhapụrụ na-arụ ọrụ njikọ. Ha banye n'ime n'ime parenchyma, abụba na connective anụ ahụ nke prostate. N'ihi bụ a yinye mmeghachi omume. N'aka otu enzyme a tọhapụrụ ma. Nke a na-akpalite ihe mgbu usoro nke na-eduga ụba ọbara, na ekemende - ka a ọnọdụ na-achọghị ọbara. Nke a na-eme ka thrombosis na gland. N'ihi ya, ọbara aghara emee pancreatitis, mgbe mgbe akpali iche pancreatic necrosis.

Akpata ọrịa nke

Enweghị nchịkwa ọnọdụ emekarị na-egosi dị ka a N'ihi nke na-ata ahụhụ a otu ma ọ bụ ugboro ugboro oké nke pancreatitis. The nnukwu ụdị na-na-jikọrọ ya na cholelithiasis. Ka precipitating ihe sikwa onya (afo ma ọ bụ duodenum 12), imeju, ịba ọcha n'anya, aṅụrụma.

ozi dị mkpa

Dị ka e kwuru n'elu, otu n'ime ọrụ nke endocrine glands na-agụnye mmepụta nke homonụ. Na-arụ ọrụ a aka na ntakịrị àgwàetiti nke Langerhans. Na ikpe nke ha meriri na ndabere nke pathologies, gụnyere ala ala pancreatitis n'ime, na-emepe emepe ọdụdụ mbelata nke na imeju na-arịa ọrịa shuga (ọrịa shuga). The pancreas bụ ike onwe-mgbanwe iji ụdị nri. Ọ niile na-adabere nri oriri. Mgbe ị na-enweta a nnukwu ego nke carbohydrate na-arụ ọrụ karịa ekewa ha enzymes. Ọ bụrụ na ndị kpagburuibe abụba oriri, ọ na-arụpụta ihe lipase, ọ bụrụ na protein - trypsin. Otú ọ dị, n'ụzọ atụmatụ ndị a ekwesịghị ịbụ. Nke bụ eziokwu bụ na pancreas na-adịkarịghị enye n'ókè banyere a kwere omume bufee. Abụkarị gosipụtara ya nnọọ a-eme ihe ike mmeghachi omume, nke na-agba akaebe na ọ bụghị ka mbụ ogbo nke ọrịa, na ya zuru oge ntoju.

The esi nke na-eleghara anya ọrịa

Eketre ala nke pancreas nwere ike ime ka dị iche iche nsogbu. Ihe bụ nsogbu bụ tumadi na eziokwu na-esote ya na e nwere ndị ọzọ ụlọ ọrụ na-abụghị obere mkpa maka ahụ. Nke a, akpan akpan, na splin, imeju, afo. Ọ na-adịghị na-agara na n'obi. Mgbe imebi na ọrụ nke pancreas, ahụ na-enwe. Mgbanwe ndị na-usoro ime ngwa ngwa. N'ihi na pancreatic cancer mgbe ụfọdụ dị nnọọ awa ole na ole.

Nnukwu necrosis nke pancreas

Usoro a bụ anụ ahụ mbibi ahụ. Ya mmepe na-emetụta dị iche iche na-akpasasị uche ihe. Na obi ha na-ngwa mbufụt. Nnukwu necrosis nke pancreas amalite na ikpe nke a tightening nke ya ule na ọgwụgwọ. N'oge nọ n'ọrụ na-ekere òkè nke ha onwe ha ahụ enzymes. Site ọrụ ha ahụ gbarie pancreas. Mgbe etinyere ya n'ọrụ interstitial enzymes na-enwe ọganihu-enweghị nchịkwa na Filiks. Dị ka a N'ihi ya, ha kpụrụ foci nke abụba necrosis.

Description nke usoro

Dị ka a n'ihi nke gbawara nke ọdụdụ asịd emee onye Onyenwe anyị + nnofega. Nke a na activates intracellular tripsogen. Mgbe e mesịrị, ọ na-ghọọ trypsin. Nke a compound, n'aka, activates proteases na-etolite kpọmkwem proteolytic akpa. Enzymes amalite corrode na vaskụla mgbidi na connective anụ ahụ. Ebibi usoro bụghị naanị pancreas. Isi mgbake na nke a agaghị ekwe omume. Mgbe mpụta ìhè nke doro anya ihe ịrịba ama nke ọnwụ nwere ike ozugbo.

ịmụba ihe

Necrosis nke pancreas, mgbaàmà nke nke ga-atụle n'okpuru, na-abụkarị n'ihi nke oké oriri nke mmanya, iribiga nri ókè, dyskinesia na biliary tract, enzyme outflow abnormalities ruru cholangitis, calculous cholecystitis. Challenge daa ọrịa nwere ike na-ekwesịghị ịdị dose nke ịṅụ ọgwụ, dose mebiri na ngwa circuit. Nnukwu pancreatic necrosis nwere ike mere site na ugboro ugboro na-efe efe nsogbu.

daa ọrịa maka

Dabere na mmụba, nnukwu pancreatic necrosis nwere ike ọtụtụ na Baịbụl hiwere isi n'ebe. The usoro nwere ike na-enwe ọganihu ngwa ngwa ma ọ bụ pụtara umengwụ eruba. Dị na ụdị nke enweghị nchịkwa N'ezie pancreatic kewa-ebibi, ọtọ, hemostatic, hemorrhagic na edematous. Nke ikpeazụ a na-ewere ndị kasị nwayọọ ụdị. N'ihi na ụba ọzịza nke anyịnya na-akpali na-abawanye na nsogbu na pankreotsity na ọgba aghara nke microcirculation. Ọgwụgwọ nke edematous ogbo, na-emekarị nke ọma. Na-adịrị nnwụchu ọkà n'ịmụ banyere ọrịa na-ewe a na-agba ọsọ ụdị. Karịsịa, necrotic usoro enye outflow nke pancreatic cancer of digestive enzymes. Dị ka a n'ihi nke mgbaze amalite site n'ime ahu. Na N'ezie nke usoro amalite infiltration nke abu n'ime abdominal oghere. Dị ka a n'ihi nke peritonitis amalite na nnukwu ụdị. Nke a-apụghị izere ezere n'ịwa ahụ. Ma ọ bụghị na-amalite sepsis, na-eduga n'ọnwụ.

adakarị picture

Gịnị bụ ihe mgbaàmà nke pancreatic necrosis? Mgbaàmà nke ọrịa na-ike. Na ekpe elu quadrant mgbu nke herpes zoster amalite agwa. Ọ na-agbasa ofụri idem n'okpuru ọgiriga. Mgbu na ubu na-enye agụba dị ka a obi ọgụ. Filiks na-ebu profuse vomiting, bloating, flatulence. Onye ọrịa nwere a fever, ikpa amama ọtọ ma ọ bụ reddens. Isi mgbaàmà nke a enweghị nchịkwa ọnọdụ a na-atụle ga-a mgbaàmà nke Gray-Turner. Ọ na-egosipụta onwe ya n'ụdị bluish tụrụ na n'akụkụ nke afo. Palpation mgbidi akara mgbu, erughị ala. Diagnosis a rụrụ dabeere na visual nnyocha, ndidi mkpesa, nakwa dị ka site na ihe instrumental na laabu ọmụmụ. Iji amata parenchymal echogenicity họpụtara ultrasound. CT na MRI enyocha kwa, angiography na laparoscopy ekwe gị ịtọ kpọmkwem mmalite nke ọrịa.

ọgwụgwọ jikoro

Ọgwụgwọ nke nnukwu necrosis nwere ike ịbụ ma ịwa ahụ ma ọ bụ mgbanwe. The nhọrọ ga-adabere na-enweghị nchịkwa na mgbanwe ke idem. Drug ikpughe na-kenyere n'otu n'otu. Otu n'ime ihe ndị ọgwụ ọjọọ na-atụ aro maka n'ikuku, - spasmolytics (pụtara "No-spa", n'ihi na ihe atụ), na antifermental cytotoxic ọgwụ ọjọọ na-emetụta enzyme njikọ. Of nke ogwugwo usoro eji laparotomy na laparoscopy. Otú ọ dị, na N'ezie nke ọrụ na ọ bụghị mgbe niile kwere omume iwepụ kpamkpam na daa ọrịa. Ke ofụri ofụri, ọgwụgwọ nke ọrịa na a ọgwụ ọnọdụ a na-rụrụ.